Healthcare settings that dispense DSUVIA must:
To become certified to dispense
Download and complete the enrollment form
to submit it 1 of 3 ways:
AcelRx Pharmaceuticals, Inc.
Attn: REMS Administrator
351 Galveston Drive
Redwood City, CA 94063
Complete and submit the enrollment form online.
Your healthcare setting must designate an Authorized Representative to coordinate the certification process and oversee implementation of and compliance with the DSUVIA REMS. To enroll your healthcare setting, the Authorized Representative must complete, sign, and submit the Healthcare Setting Enrollment Form to the DSUVIA REMS.
By signing the Healthcare Setting Enrollment Form, the Authorized Representative agrees to comply, on behalf of your healthcare setting, with the following REMS requirements:
AcelRx Pharmaceuticals, Inc. will provide information on DSUVIA at certified healthcare settings upon request.
This phone number is also available for reporting product complaints.
Limitations of Use
AcelRx Pharmaceuticals, Inc. is committed to patient safety. To report suspected adverse reactions with DSUVIA, please contact: